Endoscopic translumen-apposing metal stent biliary stent placement

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Endoscopic translumen-apposing metal stent biliary stent placement Abdelhai Abdelqader, MD VideoGIE Volume 3, Issue 2, Pages 47-48 (February 2018) DOI: 10.1016/j.vgie.2017.11.001 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, CT scan showing the duodenal stent at the far left and the adjacent choledochoduodenostomy lumen-apposing metal stent (LAMS). Immediately superior to the short-axis LAMS is biliary dilation that extends deep into the liver. B, Endoscopic view of the sphinctertome between the LAMS on the left and the duodenal stent at the right with its phalanges protruding toward the endoscope. The LAMS was filled with debris. C, Fluoroscopic view illustrating dilation of the proximal biliary duct and lack of contrast medium in the left biliary system. D, Fluoroscopic view of placement of a biliary stent through the LAMS and into the strictured left biliary branch. VideoGIE 2018 3, 47-48DOI: (10.1016/j.vgie.2017.11.001) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions